Referral Tool

Tools and resources for healthcare professionals.

Please review the following to assist you in determining your patient’s current palliative needs. If you check four or greater boxes your patient qualifies for our palliative care at home program. If you check seven or greater boxes your patient qualifies for hospice. If you check between four and seven boxes, please call our admission team at 303-398-6200 and we will complete an assessment visit and admit your patient to the program that best fits their needs.

Has your patient been hospitalized two or more times in the last six months related to the same diagnosis?

Has your patient had a recent hospital stay that was longer than five days or required admission to the Intensive Care Unit?

Has your patient had two or more serious infections in the last six months?

Has your patient had two or more recent falls that caused a fracture or serious injury?

Has your patient had greater than 10 percent weight loss over the last six months or a current Albumin level less than 2.5?

Is your patient receiving maximum treatment with now worsening symptoms?

Is your patient refusing or no longer a candidate for aggressive treatments?

Does your patient have increased needs for community resources related to their disease or recent functional decline?

Does your patient need help with end of life advance care planning or a detailed goals of care conversation?

Do you suspect this patient’s life expectancy to be less than two years within the normal course of their disease?